Integrating Person Centered Technology in ADS Programs

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• Integrating Person Centered Technology in ADS
  Programs
• 2008 NADSA

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Technology Ready or Not.

• Technology is coming, NOW
• Aimed at practical applications
• MDS software, HIPPA compliance, benchmarking,
  telehealth, transportation, monitoring, etc.
• Remember who its supposed to benefit
• Need strategy that includes the person!

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• Colorado LLC founded in 1999
• Develop adaptive computer systems for older
  adults w/ disabilities
• Programs up and running in 38 states, Canada and
  Australia
• Dementia engagement driving 50 of interest
• Multiple installations in adult day programs and
  PACE sites

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Examples of Customer Partnerships

• Genesis Healthcare
• Volunteers of America
• Good Samaritan Society
• Lutheran Homes and Services
• Erickson Retirement Communities
• Pinon Management
• Total Longterm Care (PACE)
• Eden Alternative
• Golden Living
• Multiple CCRCs

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IN2L and Adult Day

• Ideal fit with mixed ages
• Various levels of cognitive ability fits well
  with programming
• Good success with PACE sites
• Great intergenerational tool

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What this Means for You..
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Internet Gaming Not Just for Teens

• Nearly 25 of those 55 spend a minimum of 43
  hours a week playing online games.
• These games improve skills such as
• Reaction times
• Spatial reasoning
• Short-term memory

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Old People Cant Learn New Things

• Decreased physical, psychological, and social
  activity combined with these perceptions add to a
  downward spiral of brain functioning.
• Brain plasticity processes with negative impact
  take over as one ages.

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Brain Plasticity

• The lifelong ability of the brain to evolve with
  new learning or experiences.
• Plasticity-based training engages older adults
  in programs targeting cognitive, physical, and
  sensory activities.
• ACTIVE national clinical trial appropriate
  training and practice improves cognitive
  abilities in older adults.

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Impact of Technology on Persons with Dementia

• Interactive technologies promoting reminiscing
  enhances communication by persons with dementia.
• Cognitive stimulation activities may be as
  effective and more cost-effective comparing
  results with drug trials for dementia.

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Impact of Technology on Persons with Dementia

• Use of preferred music prompts motor functioning,
  memory recall, and decreased agitated behaviors
  among persons with dementia.
• Positive reactions to virtual reality
• Significant increase in the number of engagement
  behaviors in both individual and group activities.

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How it all Works
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Its All About Staying Connected
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IN2L Therapy Benefits

• Increased patient participation
• Increased RUGS categories and Part B caseloads
• Therapist Job satisfaction
• Family Satisfaction
• Individualized Activities

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Commonly Used CPT Codes

• 92507 Speech, Language, Communication Treatment
• 97530 Therapeutic Activities
• 97112 Neuromuscular Re-ed
• 97110 Therapeutic Exercise
• 97150 Group Therapeutic Procedures

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The Magic of the Interface.
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Anecdotal Outcomes

• Increased family participation
• Grandchildren reconnecting
• Kids enjoy the experience
• Purpose through life stories
• Technology the enabler
• Changed Perception of Aging

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Changing the Experience for Kids

• Meaningful activities
• For both resident and student
• Embrace their way of life
• Email
• Gaming
• Multimedia content
• Make the first visit positive

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The Process.

• Site provides connectivity
• IN2L on site installation / training
• Costs
• System hardware / software
• Installation / training
• Content / tech support package

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The IN2L roadmap

• Cognitive therapy
• Staff training tool
• Short term rehab opportunities
• Migration to at home systems
• Web based loading of content
• Customer specific experience
• Integration of television / computing

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Examples of Customer Partnerships

• Genesis Healthcare
• Volunteers of America
• Good Samaritan Society
• Lutheran Homes and Services
• Erickson Retirement Communities
• Pinon Management
• Total Longterm Care (PACE)
• Eden Alternative
• Golden Living
• Multiple CCRCs

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How it all Works
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Its All About Staying Connected
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IN2L Therapy Benefits

• Increased patient participation
• Increased RUGS categories and Part B caseloads
• Therapist Job satisfaction
• Family Satisfaction
• Individualized Activities

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Commonly Used CPT Codes

• 92507 Speech, Language, Communication Treatment
• 97530 Therapeutic Activities
• 97112 Neuromuscular Re-ed
• 97110 Therapeutic Exercise
• 97150 Group Therapeutic Procedures

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Regulatory Benefits

• Relevant F-tags
• F240 Quality of Life
• Create humanizing environment
• F241 Dignity
• Activities that assist resident maintain or
  enhance dignity
• F242 Self determination and participation
• Choose activities inherent with interests
• Interact with community

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The Magic of the Interface.
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A Kids Perspective
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The Power of the Story
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Anecdotal Outcomes

• Increased family participation
• Grandchildren reconnecting
• Kids enjoy the experience
• Purpose through life stories
• Technology the enabler
• Changed Perception of Aging

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Research Driven Outcomes..

• Myers Research Institute
• University of North Carolina
• Mather Life Ways
• CIRCA Scotland
• LSN

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Changing the Experience for Kids

• Meaningful activities
• For both resident and student
• Embrace their way of life
• Email
• Gaming
• Multimedia content
• Make the first visit positive

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The Process.

• Site provides connectivity
• IN2L on site installation / training
• Costs
• System hardware / software
• Installation / training
• Content / tech support package

34
The IN2L roadmap

• Cognitive therapy
• Staff training tool
• Short term rehab opportunities
• Migration to at home systems
• Web based loading of content
• Customer specific experience
• Integration of television / computing

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What it costs

• Activity package
• 350 / mth .38 / resident / day
• Resident package
• 455 / mth . 51 / resident / day
• Therapy package
• 642 / mth . 71 / resident / day

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Wrapping Up

• Kids are kids, dont fight it
• For younger kids, technology provides engagement
  tools that are fun!
• For high school opportunities for meaningful
  community service
• For families, opportunity for personalization
• Changes perception of your community

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Links

• Assistive technology
• http//www.loc.gov/nls/reference/circulars/assisti
  ve.html
• www.resna.org
• www.IN2L.com
• jyork_at_IN2L.com